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Sample Record for 2021-08-18-30

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 215299 DEA: 07260804 EFIS: 0712000104 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10,405-16.6/30.1,4.8/8.7
Work Description: CONSTRUCT GROSS SOLIDS REMOVAL DEVICES, BIOSWALES AND MEDIA FILTERS.
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS ON ROUTE 10 0.1 MILE WEST OF SANTA FE AVENUE TO 0.2 MILE WEST OF COGSWELL ROAD UNDERCROSSING AND ON ROUTE 405 0.1 MILE EAST OF CHEERY AVENUE OVERCROSSING TO 0.1 MILE WEST OF SOUTH ALAMEDA STREET UNDERCROSSING
Contractor Name: POWELL CONSTRUCTORS, INC.
Contractor Address: 1355 Brooks Street, Unit "F", Ontario, CA 91762
Resident Engineer: Mesfin Hailu Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-08-18-30
TL Number from the TL Form:
Sample Submitted By Organization: Pro-Cast Products Inc.
Sample Organization Contact: (909) 793-7602
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 08/18/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/19/2021
The quantity of what the sample constitutes: 8
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: ProCast Products

Material Information

The concrete mix design number: PRO18051
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: TT
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete from wheelbarrow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 3

DIME Test ID: 2021-08-18-30-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Submitted By Organization: Pro-Cast Products Inc.
Organization Address: 27417 E. Third St., PO Box 602,
Organization City: Highland
Organization State: CA
Organization Zipcode: 92346
Organization Email: chad@procast.us
Organization Phone: (909) 793-7602
Data has not been verified.

Test 2 of 3

DIME Test ID: 2021-08-18-30-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Submitted By Organization: Pro-Cast Products Inc.
Organization Address: 27417 E. Third St., PO Box 602,
Organization City: Highland
Organization State: CA
Organization Zipcode: 92346
Organization Email: chad@procast.us
Organization Phone: (909) 793-7602
Data has not been verified.

Test 3 of 3

DIME Test ID: 2021-08-18-30-3
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Submitted By Organization: Pro-Cast Products Inc.
Organization Address: 27417 E. Third St., PO Box 602,
Organization City: Highland
Organization State: CA
Organization Zipcode: 92346
Organization Email: chad@procast.us
Organization Phone: (909) 793-7602
Data has not been verified.

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.